I was diagnosed as a Hepatitis C and HIV positive 6 years ago. last week I did these testes and I need you to expaline them to me and tell me what my condition is and if I need to do anything else or aany advice from you will be really apreciated,,,PLEASE HELP Me .

I am waiting for your response, Iam living in a country where it is kinda impossible to get a good advice, please help me.

Thank you so much,

Response from Dr. Frascino

Hello,

There is no doubt you are HIV/HCV coinfected. There should also be no doubt that you are in need of an HIV/AIDS specialist and possibly a liver specialist (hepatologist or gastroenterologist) as well.

Regarding your hepatitis C, the next step would be to evaluate your liver function studies and consider a liver biopsy to ascertain the degree of liver function and damage and also whether treatment is warranted.

As for your HIV disease, you now have AIDS based on a CD4 count less than 200. Antiretroviral therapy is definitely warranted in addition to Pneumocystis carinii pneumonia prophylaxis. You are also at increased risk for other opportunistic infections and malignancies. I urge you to consult a local HIV/AIDS specialist without delay.

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